HomeMy WebLinkAboutMortgage_Rowley� STATEMENT OFMORTGAGE OR CONTRACTINDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION
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� PrescriDed 6y Department af Local Govemmen� Finance
INSTRUCTIONS:
Coun Township Year
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To be Fled in person or by mail with the County Auditor o/ the county where the propeRy is located. �
Filing Dates: 1) Real Property: During the 12 mon[bs before May 11 01 the year fhe deduction is to be eBectiv_e� ��
2) Mobile Homes assessed under IC 6-1J-7: Between January 15 and March 2 0/ the year'the deduction is to be-eflective.
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See reverse side for additional instnictions and qualiTcations.
Applicant (owner or contract buyer - see restrictions on reverse side)
Taxing Dislricf Key number / legal description Rewrd number
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Assessed value of real property as of MoAgage / Contrad indebtedness unpaid as of Is the applican�e sole legal or equitabie
March 1, current year March 1, current year owner? Yes ❑ No
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If no, what is his ! her exacl share of interest? If owned with someone other than spouse, indicate with whom.
If name on record is differenl lhan that of applicant, indicate below: O��fo Is the property in question:
��.�j ���' Real Property ❑ Mobile Hane (IC 61.1-�
' me of mortgagee or contract seller -- —
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Address of mortgagee or contract seller (number and sheet, city, state, ZIP �C� :�••••••
Drawer NO.••••••••
Name of assignee or olher owner or holder of moRgage .�p�. r� .... •••
Card NO ••• • M
Address of assignee (numberand streef, city, state, ZIP code) �� 57, ��l �
Does applicant own property in any other If yes, what county? What Taxing District? Has this dedudion been requested on
county in Indiana? property for cunent yeaf? � Yes❑ No
COUNTY AUDITOR
Deduction approved in the amount of:
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Signature County Auditor Date
�i/ We certify under the penalty of perjury that the above and foregoing informalion is irue and corred and that the applicants was / were
i resident of Indiana and owner of the aforementioned property on March 1, 20
Signature (owner's full name) Person authorized by duty executed Power of Attomey
� or by IC 6-1.1-12-.07
F I resident address of applicani Address of authorized person
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